Leadership Connections Request Form*

Your Name:

Your Phone Number:

Your E-Mail Address:

Why are you requesting a Leadership Connection workshop? Please note any challenges you are facing that the workshop facilitator needs to know.

What would you like your student organization to gain from this presentation?

Describe the audience you are requesting a presentation for. Please include age, gender, and an estimated number of participants:

What is your desired presentation length? (30 minute minimum)

What are your preferences for the date and time of the presentation? Please give at least two weeks notice.

What location do you propose for the presentation? (It is your responsibility to reserve the space.)

Please choose the general topic you would like a presentation on. Please be more specific about what the particular topic you would like is in the space provided below (Additional information). (You may only choose one- for multiple presentations return to this form, choose another topic, and re-submit.)

Communication
Membership/Group Issues
Recruitment/Training/Transition
Programming
Leadership
Skills
Service/Community Engagement
Personal/Individual Topics
Please make a selection.

Is there any additional information the presenter needs to know?

*Requests primarily taken for Miami University and Oxford, OH area. If you wish to request a presentation outside of Miami University, there will be fees involved.